How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $10.00 | Facility | None | $8.71 | $8.71 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $15.49 | Professional | None | $8.71 | $8.71 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.37 Typical High $7.76 | Professional | 52 · Reduced service | $4.37 | $4.37 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $3.09 | Professional | 53 · Discontinued | $1.74 | $1.74 | $3.09 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $1.29 Median $1.29 Typical High $2.29 | Professional | 55 · Aftercare only | $1.29 | $1.29 | $2.29 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.87 Median $0.87 Typical High $1.55 | Professional | 56 · Pre-op care only | $0.87 | $0.87 | $1.55 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Emblem Health Setting Professional Modifier None Typical Low $32.36 Median $39.81 Typical High $39.81 | Professional | None | $32.36 | $39.81 | $39.81 |
Horizon BCBS Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.95 | Professional | None | $19.50 | $19.50 | $19.95 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $31.62 | Facility | None | $26.92 | $26.92 | $31.62 |
United Setting Professional Modifier None Typical Low $15.14 Median $17.38 Typical High $18.20 | Professional | None | $15.14 | $17.38 | $18.20 |
Where New Jersey sits
The same service costs 4.6 times more in Hawaii than in Ohio. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
New Jersey· 37th of 51
$16.22
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.